Primary Contact Spring 2022 by Canadian Memorial Chiropractic College

PRIMARY CONTACT SPRING 2022

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Volume 60

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Issue No. 2

Original Rita-Anne Piquet Paintings for Auction Retiring from Practice Updates on Awards, Partnerships and Opportunities

A publication from the Canadian Memorial Chiropractic College for alumni, members and friends

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June 3 and 4

CMCC Homecoming ‘22 Reunite with classmates and alumni for a memorable weekend of great social activities and an inspiring Continuing Education program This year we will be honouring the Classes of: 2017, 2012, 2007, 2002, 1997, 1992, 1987, 1982, 1977, 1972, 1967, 1962, 1957, 1952.

Registration open at: www.cmcc.ca/homecoming More information: events@cmcc.ca

What can you expect? Two in person social events. Great food, anniversary class recognition, awards, entertainment and more. CE credits. The Homecoming CE program will be available online until August 31. Original art in our Homecoming auction. All proceeds support CMCC. Annual alumni awards. Vote for your colleagues and friends.

IN THIS ISSUE 02

From the President

From the Chair

Dr. Natalia Tukhareli receives OHLIA Lifetime Achievement Award

Spinal Stenosis Clinic at CMCC’s Clinic at Sherbourne Health Centre

Dr. Rahim Karim named President, CCNM

Steve Zoltai, Collections Development Librarian, retires after 21 years at CMCC

Staying Green

SCCA Presents: CMCCTalks 2022 Metamorphosis

Pursuing Further Opportunities for Graduates

Original Rita-Anne Piquet Paintings Available Through Upcoming CMCC Auction

The Value of Integrated Newcomer Care

Passage: Anne Taylor Vaisey

Ontario Tech University Institute for Disability and Rehabilitation Research Announced

In Memoriam

Donor Update

Massage Addict Clinics Commitment to Support CMCC Students

Dr. James Young on His Research in Denmark, Supervised by Toronto's Dr. Carlo Ammendolia

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Practice OpportUnity 2022

CMCC Signs New Articulation Agreement with the University of New Brunswick

Retiring From Practice

Go green: You can reduce your carbon footprint and read Primary Contact in a digital format (PDF) instead of receiving a paper copy. Email us at communications@cmcc.ca and we’ll make the switch for you.

Primary Contact - Spring 2022

FROM THE PRESIDENT may be entering a sixth wave of infection. But despite this, I am optimistic that 2022 is going to showcase our collective ability to overcome obstacles and move ahead even stronger than ever. Certainly, the events over the past two years have demonstrated CMCC’s resilience, eagerness to take on challenges, and willingness to acknowledge opportunities for improvement and turn those into strategies for making progress.

SELF-REFLECTION – ASSESSMENT IMPROVEMENT As I write this, we have passed the two-year mark of the COVID-19 pandemic and Ontario

Two years ago, I wrote about CMCC having applied for accreditation by the Council on Chiropractic Education (CCE) in the USA. There are five CCEs operating around the world, accrediting more than 50 Doctor of Chiropractic degree programs.

CMCC has long been accredited by the CCEC (Canada) and our graduates are often welcomed to apply for licensure in jurisdictions outside of Canada. But the US doesn’t have the same labour mobility protections for regulated professionals as does Canada, so there are still many states in which our graduates couldn’t practice because of eligibility requirements that include a mandate that the applicant be a graduate of a CCE (US) accredited program. Because today’s students are much more likely to want to practice a portion of their career in a different country than past generations, CMCC wanted to reduce the barriers for licensure in the US. Hence, our Board of Governors authorized CMCC

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to seek US accreditation, a process we initiated in October 2019. In January 2020, the CCE determined that we had met the institutional eligibility requirements and set a timeline for our review, including the submission of a self-study report in April 2021, a site visit team evaluation in September 2021, and an accreditation status review hearing in January 2022. As you probably saw from our press release earlier this year, CMCC was triumphant in our quest for accreditation and received our initial award of accreditation from CCE in January 2022, marking the first time that any program has been accredited by two CCE agencies. But accreditation is more than just getting a passing grade. Its true value lies in the quality assurance cycle of selfreflection, assessment and improvement. Each accrediting agency publishes its accreditation standards with which the program must demonstrate its compliance. Our accreditation cycle with CCEC was scheduled for renewal in 2021, and our Ontario ministerial consent that provides CMCC with degreegranting authority needed to be renewed in 2022. So, we bravely embarked on a comprehensive self-study process beginning in 2020 in which we reflected on our compliance with each of the three different sets of standards and then produced agencyspecific self-study reports that not only included evidence demonstrating our compliance with those standards and touting our accomplishments, but also identified where we thought we needed to improve. The site teams from the CCE and CCEC

were responsible for validating our self-studies by meeting with faculty, staff, students, committees, administrators, and Board members, and then providing a report to the respective Council responsible for making a final accreditation decision. Our CCEC site visit took place in June 2021 and in November 2021 the CCEC awarded CMCC reaffirmation of its accreditation for the maximum number of years. The CCEC site team was accompanied by an observer from the Postsecondary Education Quality Assurance Board (PEQAB) to determine if the site visit evaluation was comprehensive and rigorous. PEQAB is the Ontario agency that makes recommendations to the Ministry of Colleges and Universities on applications for ministerial consent, so this site visit had great significance to CMCC’s renewal submission in March of this year. The CCE conducted its site visits in September 2021 and in January 2022, following a meeting with CMCC representatives, the CCE awarded CMCC accreditation for four years, in accordance with the standards relating to initial accreditation of a program. This marked the first time that the CCE had accredited a program outside of the US. So far, we have had successful accreditation processes with the CCE and CCEC. We’ve submitted our application for renewal of ministerial consent which will now be evaluated, along with our CCE and CCEC self-studies, site team reports and final decision letters, by a PEQAB expert review panel later this year.

Importantly, our self-reflection identified areas where we could benefit from further improvements. Each of the site teams also made helpful suggestions. All this information laid the foundation for our next cycle of strategic planning, in which we are now engaged. CMCC is not perfect, nor will it ever be, but we can remain vigilant for ways in which we can improve our curriculum and better serve our students and ultimately the patients they will be caring for. This is the why we place such a high value on accreditation and why we are so proud of our recent accreditation achievements. Pride also comes from watching our students, faculty members and staff continue to succeed despite a global pandemic. Our Year IV first-time passing rate on the 2020-21 CCEB exams in 2021 was again excellent, including a 98% pass rate for Component C. We will end our academic year on schedule. We eagerly look forward to having in-person convocations in June, including a ceremony honouring the Classes of 2020 and 2021 which had only virtual ceremonies in those years, as well as a separate ceremony for the Class of 2022. Live events are gradually being restored across the nation, and I look forward to seeing many of you at your local provincial association gatherings and CMCC’s Homecoming. 2022 is off to a great start!

David Wickes, DC, MA

Primary Contact - Spring 2022

FROM THE CHAIR

It is both my true pleasure and an honour to greet you as the new Chair of the Board of Governors for CMCC. My esteemed predecessor, Dr. Richard Mercier, and I share the distinction of being the first Board Chairs from our respective provinces; his Québec and mine being the beloved province of Newfoundland and Labrador. As other past Board Chairs, I was elected to this position at a Board meeting following the CMCC Annual General Meeting in October. This was the first time that an election of a Chair occurred virtually and quite frankly, I hope it will be the last. Dr. Richard Mercier (aka ZOOM Master) remains a member of the Board as Past Chair. He most certainly had a daunting term as Chair utilizing evolving technology and all the inherent challenges to continue the work of the Board virtually. However, his tenacity and commitment captained us through two great years.

Also at the October Board meeting, we welcomed back Dr. Mary-Irene Parker from Nova Scotia, and our newcomers Dr. Peter Shipka from Alberta and Dr. Debbie Brake-Patten from Newfoundland and Labrador. We said farewell with much gratitude to Board members Dr. Jason Fox from Nova Scotia and Dr. Natalie Carrington from Alberta. They have served this Board well and I am confident that they will continue to represent our profession well into the future. I look forward to working with all our dedicated Board Members over my term as Chair with a hope that we will put Zoom behind us and once again get together and meet in person as in preCOVID times. We are living in a time of firsts. CMCC is no stranger to accomplishing firsts, leading the way and breaking new ground. We continue to shape the future by truly embracing it and challenging the boundaries within our profession. Our President Dr. David Wickes is one example of this as our first president from the US. His performance in this role has been nothing short of exemplary. Dr. Wickes and I have been working together since the very beginning of his career at CMCC and I am honoured to be working more directly with him during my Chairmanship. To continue on the theme of firsts, we are so very thrilled that CMCC has been granted a four-year accreditation by CCE (US). As such, CMCC is the FIRST chiropractic educational institution to achieve a dual accreditation by two different

CCE organizations spanning two separate countries. This has been a two-year adventure which under the shadow of COVID-19 is nothing short of spectacular. Clearly CMCC continues to embody its vision statement: An academic institution recognised for creating leaders in spinal health. These CMCC leaders in spinal health will now have greater opportunities to practice outside of Canada, meeting the growing demand for professional mobility. To ensure that CMCC continues to operate on the cutting edge, a new strategic plan is currently in development. We are looking forward to the exciting new initiatives it will include that will have a major transformative impact on CMCC and chiropractic. We all have been living in a time of great uncertainty, constant change, and challenge under the dome of a global pandemic. COVID-19 has become a daily household word and continues to impact all aspects of our lives. I am certain we will return to normal in a very short time. For now, we must strengthen our resolve and move forward with intent to achieve goals and meet challenges with solutions. I look forward to a year filled with new accomplishments, moving our profession forward and truly leading the way in chiropractic education at CMCC.

Gregory Woolfrey, DC To contact any member of the Board, please email board@cmcc.ca.

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CMCC 18TH annual

BackSwing '22

SAVE THE DATE

Thursday, September 8, 2022 Bayview Golf & Country Club SHOTGUN START

Primary Contact - Spring 2022

DR. NATALIA TUKHARELI RECEIVES OHLIA LIFETIME ACHIEVEMENT AWARD CMCC Director of Library Services, Dr. Natalia Tukhareli awarded Ontario Health Library and Information Association (OHLIA) Lifetime Achievement Award. The award recognizes those who have:

Made significant contribution to the advancement of the aims and objectives of OHLIA and/or health information in Ontario by: raising the value or profile of library and information services within the health environment consistently over the course of their career; contributing to the overall success of the profession through OHLA/OHLIA activities; contributing to the overall success of the profession through mentorship, curricula or learning activities, including activities supporting equity, diversity and inclusion in health libraries or any combination of these. Tukhareli received the award in late January. She served on the Ontario Health Library Association (OHLA) Executive Committee in 2017-2020 and as President in 2018-2019. During this time, she contributed to the merger of OHLA and the Ontario Library Association (OLA), resulting in the OHLA becoming a formal division of OLA – to the benefit of both associations and their membership. Last year, OHLA changed their name to OHLIA.

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SPINAL STENOSIS CLINIC AT CMCC’S CLINIC AT SHERBOURNE HEALTH CENTRE CMCC, in partnership with Dr. Carlo Ammendolia (Class of ’82) of Mount Sinai Hospital (MSH) has established a Spinal Stenosis Clinic at CMCC’s Clinic at Sherbourne Health. The aim of the clinic is to provide evidencebased clinical care to patients with spinal stenosis at an accessible cost to those that may not be able to access the same care at Mount Sinai Hospital. Through this clinic, care is provided by CMCC chiropractic

interns under the supervision of licensed chiropractors. Ammendolia is overseeing the clinical program and associated research. The program is accepting referrals. Chiropractors who wish to refer patients may call the Sherbourne Health Centre in Toronto at 416 324 4166 and state their interest in the Spinal Stenosis Bootcamp.

DR. RAHIM KARIM NAMED PRESIDENT, CCNM Congratulations to Dr. Rahim Karim (Class of ‘98), appointed President and CEO of the Canadian College of Naturopathic Medicine effective July 1, 2022. Karim was Chair of the CMCC Board of Governors from 2017 to 2019. He is completing his time at Centennial College as Associate Vice President. At Centennial for over a decade, he held positions as Co-Chair of the Administrative

Insured Benefits - College Employer Council Subcommittee, Chair of the Public Services Health and Safety Association Advisory Council for Education and Culture. Additionally, he was a Governor on the International Business University Board of Governors. Karim is also an active Rotarian and volunteers with the Aga Khan Council for Ontario.

Primary Contact - Spring 2022

STEVE ZOLTAI, COLLECTIONS DEVELOPMENT LIBRARIAN, RETIRES AFTER 21 YEARS AT CMCC Sadly, we say goodbye to Steve Zoltai, librarian, counsellor and friend to so many of us at CMCC. We have fed on his sardonic wit, admired his collection of CMCC memorabilia and gazed longingly out his floor to ceiling window while he provided answers to even the most obscure questions. Steve is a gifted writer and has provided us many treasures through his articles in Canadian Chiropractor (definitely worth a search) and has been at the helm of the CMCC Library’s near famous Instagram feed. With his absence, CMCC loses its development librarian and 21 years of CMCC secrets. Dr. Natalia Tukhareli, Director of Library Services, shares some thoughts on Steve’s professional contributions: Steve came to CMCC in January 2001. Over the years, he has played an instrumental role in developing and revitalizing the library’s print and electronic collections and improving

Steve at home with his cat, Blue.

the accessibility and discoverability of library e-resources. Among his many accomplishments are the development of the library’s portal to electronic resources on the CMCC website, transition of the library’s content to the new Learning Management System (KIRO.2), and creation of our feature LibGuides on Anatomy, Neurology, Radiology

and Orthopaedics. As a professional archivist, he did an outstanding job in developing and organizing our archival collection, helping to make previously hard-to-find content accessible to multiple user groups. These achievements are the best testimony to Steve’s expertise, creativity, strategic thinking,

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and openness to novel ideas and experiences. His thorough knowledge of medical library collections and advanced health information technologies as well as his enthusiasm for new technologies has made him a valuable member of the library team in a time of transition from print to digital media. Steve has served on various internal and external committees including

healthy retirement filled with exciting new adventures. After 21 years, Steve has made some good friends. We could likely fill Primary Contact with the tributes and recollections from his friends and colleagues, but paper is in short supply this year, so we will keep it to a sampling.

"Beyond his skills as an archivist, Steve was highly regarded for his ability to maintain a sense of humour, albeit Sahara-like in its dryness." CMCC’s Electronic Technology Committee (ETC) and the Health Science Information Consortium of Toronto’s (HSICT) Electronic Resources Sub-Committee (ERSC). Steve’s expertise, professionalism, forward-thinking and dedication to excellent service have made him an important contributor to the library’s success. As a mentor to the library’s Technical Services staff, he has provided continuous support and encouragement to the library team while overseeing day-to-day operations at the circulation desk. Steve is recognized for his collegiality, helpful nature and his exceptional sense of humour and creativity in promoting library collections and services through various channels including social media platforms. We all will miss his incredible posts on library Twitter and Instagram. On behalf of the library team, please join me in thanking Steve for his valuable contribution to CMCC’s success and wish him a long and

Dr. Brian Budgell, Director Life Science Laboratories (Class of ‘86) Beyond his skills as an archivist, Steve was highly regarded for his ability to maintain a sense of humour, albeit Sahara-like in its dryness. Steve was also the curator of the CMCC Museum of Kitsch, an eclectic gathering of CMCC branded give-aways on permanent exhibition above his filing cabinet.

to inject humour into a situation has multiple levels to it. The response is to laugh at the obvious element of what he would say. Then as you walked back to your office, two or three more levels of humour revealed themselves as you contemplated his words. Steve is one of the keepers of knowledge. He knows something about just about everything. No matter what I would fire at him, he fired back with more details about the topic. Most would not see this last characteristic as an attribute. But I appreciate it. Steve understands the importance of everyone taking the same seat during meetings. As far as I am concerned, there is no tolerance for someone sitting in one spot one day and a different spot another day. And he shared that intolerance with me. I guess that was a Steve/Kim thing. I will miss all of these things about him. The end of the Zoltai era. He will leave a hole that will be hard to fill. I will likely grab an email from him after he retires, so all of these things don't need to be missed at all.

Dr. Kim Ross, Director of Assessment, CMCC (Class of ’87) As far as expertise in his job, Steve Zoltai is the fastest journal article retriever in the world. When I didn't have access to an obscure journal, I would email Steve to see if he could track down the article. I generally didn't even leave my email window because the response and the article would be delivered in a matter of minutes. Steve's sense of humour is second to none. Everything he says in attempt

A portion of Steve's CMCC memorabilia collection

Primary Contact - Spring 2022

ONTARIO TECH UNIVERSITY INSTITUTE FOR DISABILITY AND REHABILITATION RESEARCH ANNOUNCED A new research institute at Ontario Tech University will be a global leader in creating and disseminating knowledge to improve the quality of life and well-being of people experiencing disability, and in need of rehabilitation services. Led by Dr. Pierre Côté, Canada Research Chair in Disability Prevention and Rehabilitation (Class of ’89), research conducted at the Institute for Disability and Rehabilitation Research (IDRR) will improve the overall health of people with a disability through the conduct of innovative and policy-relevant research. The IDRR was officially created in June 2021. “Disability and rehabilitation are complex areas of research that include aspects of health, clinical care, human rights, legal perspectives and political activism, recognized by bodies like the United Nations and World Health Organization, says Côté. The creation of the Institute for Disability and Rehabilitation Research is a critical next step to facilitate knowledge

translation, and to accelerate policy change through evidencebased strategies and policies that improve the lives of vulnerable populations.” The IDRR is a partnership between Ontario Tech’s Faculty of Health Sciences, Faculty of Social Sciences and Humanities and the Canadian Memorial Chiropractic College (CMCC). Researchers will work with the public, clinicians, community partners and government to develop, evaluate and conduct policy-relevant research to inform patient care and communitybased rehabilitation services.

The IDRR evolved from the previous Centre for Disability Prevention and Rehabilitation (CDPR) that had operated under a successful joint governance model between Ontario Tech and the CMCC since 2012. Dr. Christine Bradaric-Baus, VP Academic, CMCC, says, "The advancement speaks to the track record of the work done in the past and to the promise of continuing the innovative research that will fundamentally change the lives of those with disabilities."

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MASSAGE ADDICT CLINICS' COMMITMENT TO SUPPORT CMCC STUDENTS CMCC is pleased to announce that Massage Addict, a nationwide network of multidisciplinary clinics, has signed a five-year commitment to contribute a total of $37,500 to support and further the education of the CMCC student community. The contribution is directed towards both a new student bursary program and participation in Practice OpportUnity, CMCC's annual event for students. The primary focus of the commitment is a student bursary program which will receive $5,000 per annum, for a total of $25,000. The bursary program provides relief to CMCC students in need, reducing the burden of the high cost of living in Toronto. “CMCC awards and bursaries make the CMCC program accessible to more students and reduces some of the stress associated with financing a professional education,” says Dr. Peter Kim, Director of Development and Clinic Advancement at CMCC (Class of ’91).

OpportUnity brings together more than 500 CMCC students, faculty, chiropractors and industry vendors, creating opportunities for connection, education and more. Massage Addict was excited to meet the next generation of chiropractors at this year’s virtual event, and in the years to come. “At Massage Addict, we are fully committed to providing the highest quality therapeutic treatments to our clients, including the very best in musculoskeletal care. Since launching in 2020, chiropractic care has become an integral part of the company’s multidisciplinary approach to client wellness,” states Caroline Kolompar, President of Massage Addict Inc. “We are pleased to have the opportunity to support the CMCC bursary fund and Practice OpportUnity.”

ABOUT MASSAGE ADDICT Massage Addict is 100% Canadian-owned and operated with more than 100 multidisciplinary clinics across the country. Our 1,600 Doctors of Chiropractic, Registered Massage Therapists, Registered Acupuncturists and Certified Reflexologists help more than 65,000 Canadians to manage their pain, stress and anxiety. Since 2008, Massage Addict has been helping clients improve their health through quality therapeutic treatments that are affordable and convenient. Visit MassageAddict.ca to learn more. Students will be able to apply to the bursary program through Students Services and may reach out to the awards office for more information.

Massage Addict is also supporting CMCC Practice OpportUnity, the annual networking conference, as a Silver Sponsor for the next five years, at $2,500 a year for a total of $12,500. Practice

Primary Contact - Spring 2022

DR. JAMES YOUNG ON HIS RESEARCH IN DENMARK, SUPERVISED BY TORONTO'S DR. CARLO AMMENDOLIA Dr. James Young (Class of ’16) has been pursuing studies in higher education since 2008. Set to graduate this year with a PhD from the University of Southern Denmark (SDU), he also completed CMCC’s Clinical Sciences residency program in 2019, concurrent with a Master’s Degree from Western University in London, ON. Young has been invited by the World Health Organization (WHO) to spearhead a health policy initiative and has been using international data to inform his PhD, through which he is collaborating with GLA:D® (Good Living with osteoArthritis Denmark) and assisting / guiding implementation of the international program in Ireland.

His path to academia Young’s interest in research began through the mandatory

research project, previously part of the curriculum at CMCC. While doing research in biomechanics, he found a deeper interest in literature relating to osteoarthritis. As he got closer to graduation at CMCC, Young began to consider the choice between a Master’s degree and CMCC’s Clinical Sciences program. It was during the time that Dr. Silvano Mior, Director of Research Partnerships, was working on the

development of a collaborative program with the Institute of Health Policy Management and Evaluation at the University of Toronto that would allow students to earn a Master’s degree while completing their CMCC residency. After some consideration, Young decided he could try both. He applied to Western’s Master’s program in Health and Rehab Science and entered CMCC’s Clinical Sciences residency program.

When Young speaks to students about his experiences, he always emphasizes how much help there is within the chiropractic science community...

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During his residency, he rotated through a clinical placement at Mount Sinai Hospital in Toronto with Dr. Carlo Ammendolia (Class of ’82), who developed a protocol for lumbar spinal stenosis that Young thought could be used on the knee and hip osteoarthritis he was seeing in some of his patients. At this time, the GLA:D® Canada program was being implemented and Young felt it was similar to what he was trying to design independently. He contacted the program creator, Professor Ewa Roos. After some conversations, he was invited to Denmark to complete his PhD and was able to continue with Ammendolia acting as an external supervisor. CMCC provided financial support toward Young’s three-year PhD program. Young was working on the premise that MSK conditions are more similar than different. Working with data from knee, hip, and low back pain patients connected to GLA:D® research and continuing research work connected to the spinal stenosis, he was able to study data from all areas. While he finds the work and collaboration exciting, his interest is in helping chiropractors and other health care providers see that it is more common for people to have multiple MSK conditions as opposed to isolated issues with one area when it comes to osteoarthritis. “I’d like to help chiropractors understand the broad picture and resist the temptation of seeing a person as for example, a low back pain patient.”

Support from the chiropractic and research community While the limitations due to COVID prevented him from realizing an

Dr. James Young

opportunity to work with the World Health Organization (WHO) to create a global policy framework (See fall 2021, p 12), he was able to do some preliminary work on the project and connected with Dr. Andrew Briggs, a professor at Australia’s Curtin University and a health systems specialist. Many additional studies have come from this work, says Young, who devotes a day a week to some of these projects, while working on his PhD. What struck Young was the amount of support he got from established academics. He recalled his initial reflection on the issue during his clinical internship year in the CMCC chiropractic program and feeling undecided at that time. He had a pivotal meeting with Dr. Peter Kim, Director of Advancement and Clinic Development, who connected him with some of the most well-known chiropractic research scientists across Canada. His connection with Ammendolia sprang from a phone call Kim arranged. He

decided to give post-graduate studies a try, knowing he could return to clinical practice should he wish to. When Young speaks to students about his experiences, he always emphasizes how much help there is within the chiropractic science community, and he adds that if there is the time and the means, “no one regrets getting a Master’s degree, and they are quite accessible, especially with the growing emergence of online courses.” In 2020, Young was selected as a Chiropractic Academy for Research Leadership (CARL) Fellow. The CARL Program links early/ mid stage career researchers to a global research network, facilitating mentorship relationships. As part of the CARL program, Young has been involved in numerous research projects with other future academic

Primary Contact - Spring 2022

leaders in the chiropractic profession, as well as the creation of the highly-successful CARLoquium academic conferences. He and Dr. Jessica Wong, (Class of ‘10) are both CARL Fellows, as is CMCC researcher Dr. Martha Funabashi, who joined a previous cohort in 2017.

Getting involved outside of the academic pathway For those who are not in a position to pursue a Master’s degree or other higher education, Young suggests a formal graduate degree isn’t necessary to engage in different projects. “There are many opportunities. CMCC, CCA and provincial organizations drive the direction.” For chiropractors working in the field who would like to be involved in research, there are opportunities to participate in field-based research on occasion at CMCC, e.g., Dr. Funabashi’s study on the effects of chiropractic on older adults.

The value of research Dr. Carlo Ammendolia recently published two randomized trials demonstrating his approach to Spinal Stenosis leads to large and important short and long-term outcomes. Informed by these clinical trials, recent clinical practice guidelines and practice recommendations published in the Journal of PAIN and the British Medical Journal, now recommend this approach as a first line of treatment for the disorder. “Before this, treatment for Spinal Stenosis was a black box,” says Ammendolia. “This is just one example of increased credibility and support for an effective treatment program that, without research, would go unrecognized and unknown. The research now impacts policy and is accepted by the medical community. The repercussions are major. “In 1994, when the new guidelines for backpain were published, spinal

manipulation was included. It was a watershed moment for chiropractic, providing credibility with the scientific community. The current work on Spinal Stenosis is providing similar data for chiropractic treatment and has a ripple effect on the scientific community. It’s a very good start.” Based on his work, Ammendolia has been designated a world expert in Spinal Stenosis. Again, the fact that he is a chiropractor impacts the profession, with the research adding credibility on the world stage. “Working in a hospital, evidencebased treatment is what is required. Chiropractors can also have confidence knowing that what they are taught is best for the patient and is backed by data.”

Learn more about current CMCC research through CMCC’s website at cmcc.ca/research. Dr. Martha Funabashi is currently looking for chiropractors to participate in a study looking at how older adult patients’ symptoms change after a chiropractic visit. Please contact her at mfunabashi@cmcc.ca Interested in participating in future studies? Please contact Mark Fillery at the Office of Research Administration at mfillery@cmcc.ca

Like to support future studies? Please contact Dr. Peter Kim, CMCC Director of Development and Clinic Advancement at 416 482 2340 x 184 , pkim@cmcc.ca Dr. Carlo Ammendolia working on a patient at Mount Sinai from spinemobility.com

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How does chiropractic treatment affect older adults? We need your help to answer this question.

Join other chiropractors to invite patients, 65 years and older, to respond to three easy surveys about their experiences. To learn more about how you can get involved please visit: cmcc.ca/research/clinical-health-and-sciences-research or email Dr. Martha Funabashi at mfunabashi@cmcc.ca

Help advance the safety of chiropractic care for older adults. Funded by:

Primary Contact - Spring 2022

RETIRING FROM PRACTICE

Primary Contact speaks to four alumni who have sold their practices in the past five years, asking about the mechanics, the transactions, their considerations and the impact of closing doors on a practice they have long held.

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Dr. Ivone De Marchi Dr. Ivone De Marchi’s (Class of ‘77) retirement from his practice in Brantford, Ontario, took about five years longer than necessary, he says, suggesting it can be done in as little as six months with planning if all the paperwork has been drawn up and signed by

gross average income of the final three years of practice and that remuneration will also include all the chattel,” says De Marchi.

“...make sure, that you replace the time you were in the office with activities you are passionate about.” In his case, he also had to sell his home as he had a home/ practice combination. De Marchi’s first consideration was his children, “Have they completed their education? Are they gainfully employed?

Portrait of his daughter by Dr. Ivone De Marchi

all parties and overseen by the lawyers. In De Marchi’s case, his first two sales fell through so, by the third opportunity, he had completed many of the necessary processes.

“Thirdly, and this is the most important, make sure, that you replace the time you were in the office with activities you are

“Following that, make certain that your investment portfolio (real estate, equities or a combination) produces the income that will replace your past gross yearly income in perpetuity which may be between 10 and 35 years after retiring. The planning begins when you start working.

passionate about." De Marchi’s passions include art, particularly portrait painting, cycling and time spent with family and friends. "This way," he says, "when you wake in the morning, you are focused on your daily, weekly, monthly and yearly goals that will have a positive result on not only you, but also your wife/life partner, your family, friends and especially the chiropractic profession which supplied the foundation for your success. “You can always choose to hire a consultant that specializes in

De Marchi suggests the most important steps to retirement and selling a practice include financially valuating the practice and appreciating its emotional value, i.e., “Are you ready and willing to part from the bond you have with your patients and the bond they have with you? “The most often used formula for the salability of one’s practice is this: calculate 50 percent of the

The Wards by Dr. Ivone De Marchi

Primary Contact - Spring 2022

buying and selling practices. I did not and chose instead to speak to colleagues and read about the process.”

goals -- daily, monthly, yearly and lifetime goals. Then, as long as you incrementally move toward them, you will be happy and satisfied.”

De Marchi had an extended segue between his decision to sell his practice and eventual retirement, with one or two potential handovers not finalizing.

Dr. John Andrews

“Throughout this phase, what concerned me most and was most challenging was what appeared to be a lack of understanding on the part of recent graduates who were concerned with short-term cost over the potential of the practice to build a portfolio. “As an example, the real estate appraisal completed in 2015, when the practice sold, has more than doubled to date. “My advice for others who decide to retire is this; if you wish to make it an easy, successful transition, prepare for retirement when you start your practice or as early as possible because it will take

Drs. John Andrews (Class of ‘93) and Jene Lee (Class of ‘93) gave themselves five years to plan an exit strategy from the practice they built in Corner Brook, NL. “Over 28 years we built a successful practice of three chiropractors, three massage therapists and a physiotherapist.” The couple took the decision, like many, to spend more time enjoying life. They were deeply invested in their patients and colleagues, but were also beginning to feel the wear and tear of years in practice. “As Dr. Peter Kim, CMCC Director of Development and Clinic Advancement, would attest, we reached out to him many times for advice and advertised the practice through CMCC channels. We hired a professional, a friend

“I suggest anyone contemplating retirement take a break first and consider the impact of a life change like retirement.” time for your children to become independent adults; it will take at least three to four decades to grow the portfolio; continue to help all your patients; keep your family and yourself healthy and happy and stay focused. There is no short cut or quick way to achieve success. The best thing one can do is set

and patient, who was very familiar with evaluating businesses such as ours and consulted our financial advisors about the best way to set up the sale. “We had discussions with other clinics around town that were entertaining the idea of buying us

CMCC interns at Dr. John Andrews' clinic in Corner Brook, NL (2021)

out but the fit just wasn't right for us. Eventually, about three years ago, we entered into discussions with the individual who eventually purchased our clinic. There were many, many discussions before we finally dotted the i's and crossed the t's on a contract. It was a much longer process than I had anticipated, partly due to COVID-19 interruptions but also as a result of many back-and-forth discussions with accountants and the buyers’ advisors. “My advice would be to surround yourself with professionals, financial advisors, an accounting firm and a business sales professional who is competent at evaluating chiropractic businesses. Most important is to start your planning three to five years before your expected retirement date. “Retirement for us will consist of travelling, locally exploring Newfoundland and Labrador, especially upon invitation from many of our patients who came from beautiful remote places. We have many friends all over Canada and hope to visit and rekindle some long lost friendships. And finally, we plan to

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finish our world travels primarily to Europe, exploring its fantastic history, along with a few vacations to the south to recharge our batteries with the warm sun and tropical climates.

Sher’s first locums was looking after the patients of Drs. John Andrew and Jene Lee, before they sold their practice.

Self improvement and self-care will be interwoven into all our future activities along with lots of golf!”

Dr. Bryan Sher Dr. Bryan Sher (Class of '85) retired in spring of 2018. Sher had built a practice in Toronto and enjoyed fine tuning it over the last five years of ownership, moving into more of a management position where he oversaw operations and increased office efficiency. The idea of retirement hadn’t really entered his mind until he hired a consultant and they began discussing succession planning. Two years later, he was retired – his practice had sold and he was in a position to take his 12-hour plus days and use them in other pursuits. “I had come to love the business aspects of the practice and had purchased a couple of rental properties, one of which I turned into a short-term vacation rental property. I spend more time on that, these days.” Dividing his time between Florida and Muskoka, Sher enjoys water sports and managing the rental properties. Additionally, he enjoys doing locums for other chiropractors. “I do miss the patient interactions and the locums give me an opportunity to visit other parts of Canada as well as really helping out chiropractors who may need a break.” One of

Dr. Bryan Sher

Working with a consultant, Sher found the right time to sell his practice, though he cautions against moving too quickly. “I was quite attached to different aspects of my practice and found the transition a bit abrupt. I suggest anyone contemplating retirement take a break first and consider the impact of a life change like retirement. There is a sense of fulfilment that comes from working in chiropractic that nothing else can quite replicate.”

He just sees that the stage of practice ownership is complete. Life events initiated some reflection, including whether it might be a good time for him to sell. Kniess feels that practitioners often continue until an accident forces them to act quickly to sell a practice or they slow down, their practices subsequently diminish, and they no longer have a thriving practice to sell. Kniess was fortunate that he had an associate who was ready and mature enough to take on the practice. He had a letter of intent drawn up and followed it with two appraisals. “A lot of people don’t realize how long the process can take,” he says. “I think that’s why so many end up with a devalued practice. In truth, on average, it takes about a year from start to finish.” Following the appraisal, the next stage was negotiation and drafting legal documents. In all, the transition to departing the practice took a further four years, as he stayed on as an associate to the primary owner. In hindsight, he believes that was too long. “I believe it should be done in a shorter period to give the new

“It was emotional when I left, but inevitably you have to step away sometime.” Dr. Robert Kneiss Dr. Robert Kniess (Class of ’85) doesn’t consider himself retired.

owner the opportunity to make it their own. Some people are able to make the transition between three and six months.”

Primary Contact - Spring 2022

After that, the legal paperwork completes the process. “If you are in a small town, it’s likely a different matter all together. Many new practitioners want to practice in a larger town. Today, the financing can be difficult as well. COVID has been quite a hiccup. It’s caused a lot of uncertainty for purchasers and lenders.

Dr. Robert Kneiss

Did anything unexpected come up? “Time. It takes time. Even in the ideal scenario, you can get an appraisal first, but the value of the practice could change while you are looking for a buyer, so you almost need a buyer first. After that, you can follow up with a letter of intent, then appraisal.

“Another issue to take care of is the landlord. You have to be sure the landlord is willing to move the lease over to the new practitioner.” Kniess says that the ideal time to leave is entirely personal. “Practice becomes such a big part of our lives. Nurses, MDs, chiropractors, we’re humanitarians. It was emotional when I left, but inevitably you have to step away sometime,” reflecting that it is better to plan an exit than to have life circumstances change and force your hand.

STAYING GREEN Keeping our students and employees safe and our building open has meant a lot of PPE! We are now working with Mea Health Corporation to recycle all of our paper masks! Eager to contribute to a healthier economy? They will work with you to recycle your masks and can pick up anywhere UPS services. www.MEAHealth.ca

“Some of my colleagues have spouses and other dependents they are looking after but they cannot step away from their practices. They end up having to manage it all. It’s something to really think about. What if things do go sideways?” He knows someone who died suddenly, and another who had an accident and could no longer practice. “An exit strategy is for you AND your patients. “I’m still a chiropractor and I love it, but my role in the day-to-day operation of a practice is complete. “At the end of the day, CMCC, and my time owning a practice was so rewarding, but you need to know when to change gears.” Today Kniess does locums in the Kitchener-Waterloo area. "Some people step away from it. I love it like the day I started practice.”

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SCCA PRESENTS: CMCCTALKS 2022 METAMORPHOSIS CMCCTalks Metamorphosis was held virtually February 3. In its sixth year, the event brings together students, faculty and staff, moving beyond the class, into their lives, challenges and growth experience in a format similar to a TED event.

Education, Year I, Curriculum and Faculty Development (Class of ’06). Dunham created the event with the Student Canadian Chiropractic Association (SCCA), working with Dr. Nardine Bekhit (Class of ‘18) who returned this year as a speaker.

which she turned a nonsuccessful bid for membership on CMCC Students’ Council into a successful bid for membership on the SCCA Executive. “CMCCTalks was my campaign promise. I got the position so I made good on that promise later that summer. “I realized that it would be wise to have a faculty sponsor to help navigate how to run a large-scale event at CMCC, so I reached out to Dr. Scott Dunham, who enthusiastically agreed and who has been the cornerstone to the success of the event and its continuity over the last six years. “I feel that CMCCTalks has been a catalyst for so much change in its participants. There’s the obvious - inspiring and uplifting the audience - but also a transformation on the part of the speaker, which I experienced for the first time this year, when I prepared my talk.

CMCC Choir at CMCCTalks 2020

“CMCC is known for its athletics and sporting events so with CMCCTalks, we tried to do something different that would draw on other parts of our lives and bring us together,” says Dr. Scott Dunham, Director of

Bekhit was a driving force behind CMCCTalks, using her own experience as a springboard. Running for a position on the SCCA Executive, Bekhit proposed a new event for the organization, the first CMCCTalks, through

“It felt it was a full circle moment not just because I played a role in creating the event in 2017, but because I was facing CMCCTalks once again on the heels of failure. I had made the difficult decision to quit what I thought was my dream job. It had felt like a failure not because I wasn’t confident that I made the right decision, but because I took the leap without knowing where I was going to land next.

Primary Contact - Spring 2022

“For almost a year I was unemployed as a chiropractor, but was full-time in my new (and most rewarding) job as a mother. The challenges of learning to stand up for myself and navigate motherhood led to an incredible transformation but I had a lot to process about that journey. Preparing a talk forces you to do the introspective work and face your demons. I am grateful to have had the opportunity to share my story for the growth and benefit of others, as well as for my own personal growth.” Year III student Kyla Meadley has been working with Dunham since 2019 when she joined the SCCA. Meadley says the event, provides

Behind the scenes in 2020

“I feel that CMCCTalks has been a catalyst for so much change in its participants.” a space for individuals to speak candidly about the challenges they have faced and the lessons they have learned along the way. It also highlights some of the incredibly talented individuals at CMCC, featuring performances from the Choir and Dance Club. The event is for faculty just as much as it is for students, providing them

with an opportunity to learn more about their colleagues. This year’s participants included Drs. Sophia da Silva-Oolup, Grand Choi, Vanessa Petrini (Class of ’10), Martin Gurvey (Class of ‘82), Lara DeGraauw (Class of ’97) and Nardine Bekhit.

Dr. Nardine Bekhit

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Accreditation Update

PURSUING FURTHER OPPORTUNITIES FOR GRADUATES CMCC is pleased to announce that we have completed the comprehensive process required by the Council on Chiropractic Education Canada and have been awarded accreditation for the maximum number of years for our Doctor of Chiropractic degree program. We are likewise very pleased to announce that, after receiving notification from the Council on Chiropractic Education in the United States that CMCC met the eligibility

criteria for accreditation by that organization, CMCC has completed a second rigorous process and was awarded accreditation for our Doctor of Chiropractic degree program for the maximum number of years in accordance with their standards relating to initial accreditation of a program. This is a major step in expanding the ability of our graduates to pursue opportunities to practice in the US, where a number of states deny

licensure to graduates from non-US accredited programs. Today’s students are increasingly expressing their desire to spend a portion of their professional career in other countries. We hope that US accreditation will help broaden the international scope of our program. Our thanks to everyone involved in meeting the aggressive timetable for the self-studies and those who participated in the virtual site visits.

CMCC IS NOW THE FIRST PROGRAM IN THE WORLD ACCREDITED BY TWO ORGANIZATIONS, CCE CANADA AND CCE US “I’m thankful to have such a strong team at CMCC driving us to excellence in education, clinical care and research. I’m proud of the Executive Leadership Team members, and others across our campus, who have not only excelled in keeping our program running smoothly and keeping our students and employees safe during a pandemic, but for also absorbing the extra load of two

accreditation reviews. Accreditation, at its heart, is a process of critical appraisal, self-reflection and peer review that ultimately leads to improvements. We learned a great deal from the two reviews and are determined to address our weaknesses and continue to improve.” President David Wickes

Primary Contact - Spring 2022

Paris Parallax by Rita-Anne Piquet

Excerpt from Echoes in the Studio A poem by Gill Alkin

an anecdote takes you back to when you were eleven years old

fighting with your demons, your epicentre,

still in your school uniform, bright and eager to paint,

standing-up or on the edge of your seat, large tapping feet

paint on a canvas, an easel you could call your own

with the vermillion scrunched tube of paint in your hands

those Friday afternoon classes with Miss Deese Dorrins

an outline for your own mortality reflected in the studio window.

paint brush dripping wet paint, drying in the soft September light struck with the thirst of learning and abandon.

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ORIGINAL RITA-ANNE PIQUET PAINTINGS AVAILABLE THROUGH UPCOMING CMCC AUCTION CONTRIBUTED BY GILL ALKIN

Sharing the joy of her lifework, Gill Alkin will donate paintings from his late partner, artist Rita-Anne Piquet, to benefit students at CMCC. Knowing that Rita-Anne and I both shared a commitment to giving back, it seems appropriate to donate a body of paintings for sale from my late partner, Canadian artist Rita-Anne Piquet, to benefit student programs at CMCC. I was further moved to make this donation after receiving care at CMCC, as a result of an intense injury, a posterior shoulder dislocation with fracture

of the proximal humerus. I had a complicated surgery involving 10 pins and a plate. Initially, I underwent eight weeks of physiotherapy but soon realized that the healing process had plateaued. Being a commercial photographer, my livelihood is dependent on full use of both shoulders, so the injury was of great concern. I came to CMCC at the suggestion of my good friend David Coleman, Director of Alumni Relations. After an initial assessment at the campus clinic, Dr. Chris De Graauw referred me to CMCC’s satellite clinic at Riverdale Health Centre, near my neighbourhood. The treatment there was under the supervision of Dr. Glen Harris. I was encouraged by the prospect of regaining 75 to 80% mobility in my shoulder.

Turkey Hill by Rita-Anne Piquet

The program was a combination of treatment in-clinic and a regimen of exercises at home. They emphasized the importance of my own role in recovery. The goals were laid out clearly. The interns had a genuine desire to help, showing empathy and professionalism.

Primary Contact - Spring 2022

I continued to work on my mobility and attended the clinic twice a week for about a year and a half. When I returned to St. Michael’s Hospital for a follow up with the orthopaedic surgeon, he said that I had attained the best outcome he would have hoped for. He was very pleased with my progress. Unfortunately, around this time, Rita-Anne was diagnosed with cancer and I stopped receiving treatment when caring for her became a priority. However, my confidence in the CMCC interns and clinicians remained. Recently, I returned to the clinic because of some knee issues, which were successfully resolved. I am presently working on a strength training program designed by my intern. I go regularly and find their support very encouraging. It can’t be easy balancing the academic with the practical. I’m most impressed by their integrity and dedication. I continue to recommend chiropractic treatment for those in need of rehabilitation.

The Long Walk by Rita-Anne Piquet

to think... had it not been for our volunteering with Amnesty International one night in May, Rita-Anne and I would unlikely have shared the breathtaking oxygen of life, in love.

Winter Day by Rita-Anne Piquet

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About Rita-Anne

feelings of calm and shelter. I feel that she found the greatest shelter in her studio, where she strived to be a better artist and to express herself through her work. Her floral and botanical paintings are an affirmation of life. Painting flowers provided an opportunity to see the natural world close-up and appreciate both its strength and fragility. Each painting helped her to grow.

Rita-Anne and I met in 1991 at an Amnesty International event. We were both involved in a volunteering capacity. She was chairperson of her group which worked on writing campaigns, while I was associated with the Artists’ Network. We were actively pursuing our respective careers. She, an artist and art therapist, and I, a commercial photographer. We both had similar interests in the arts and a love for travel. In fact we both owned the same white Volkswagen model car! Ever since she was 11, RitaAnne wanted to paint. She asked her mother if she could take art classes. She was constantly sketching, capturing the world around her. Always curious, she had the courage to work in different styles of painting and drawing, continually gaining new insight and purpose. She worked tirelessly to hone her skills, to be an artist of merit, to exhibit her art. The overriding theme was a contemplative study of her world. Many of her paintings portray intimate places that evoke

of so many years, to see her work bring joy to others. I would like her paintings to be enjoyed in peoples’ living rooms. CMCC is offering six of RitaAnne's paintings on auction at cmcc.ca/auction. This auction will run until Homecoming, June 4, in the meantime, the paintings are available for perusal and early bidding.

Rita-Anne was an elected member of the Society of Canadian Artists, a prestigious group whose members are selected on the merit of their work. She was also a member of the Botanical Artists of Canada, from which she was awarded the Jurors’ Choice Award for Oil Painting at the Annual Juried Exhibition and received the HSBC Award of Excellence, at Plein Air Oakville, an Ontario exhibit. Her paintings have appeared on the covers of A New Anthology of Canadian Literature, published by Oxford University Press; The Canadian Treasurer magazine and The Canadian Journal of Women’s Health Care.

Flower Market by Rita-Anne Piquet

The Masterworks Foundation of Bermuda invited Rita-Anne for a three month stay as Artist-InResidence. After which she had a successful exhibition, held in the parish of St. George’s. She was also associated with the John A. Libby Fine Art Gallery in Toronto for over a decade and participated in solo and group exhibitions of her work. When Rita-Anne passed away, her paintings were left in my care. It is important for me, as her partner

Alice's Hibiscus by Rita-Anne Piquet

Primary Contact - Spring 2022

THE VALUE OF INTEGRATED NEWCOMER CARE Resettling Health and Wellness: The Value of Integrated Newcomer Care, a report produced by Woodgreen Social Service Agency, looks at how integrated care programs, including Woodgreen’s Inter-Professional Care (IPC) program, can improve the health and well-being of newcomers.

In an article by Jennifer Mayville, How can Canada improve newcomer wellness? Two words: integrated care, Mayville states that “when major crises hit our society, newcomers’ health and wellness tend to experience the shorter end of the stick.” Statistics from Ontario’s COVID-19 cases indicate that newcomers account for over 43% of the

province’s cases, though they make up just 25 per cent of the population. These statistics underscore the importance in ensuring that newcomers – 1.2 million of whom are expected within the next three years – settle successfully. One way, Mayville suggests, is through integrated care which pairs a patient with a primary health care professional and a settlement counsellor and provides clients with services like health care and housing assistance. A program such as this simplifies navigating services, impacts the social determinants of health and eases burnout among health care professionals.

her expertise on integrated, people-centered care to the report. She says "It is critical for health systems to recognize the inequities that face many people entering Canada for a better life. In general, newcomers arriving in Canada are healthier than the general population here. The report documents how their health status worsens after arrival, mostly due to lack of access to primary care and other health services. We all need to work together across professions, across teams, across health systems to ensure newcomers stay healthy and can continue to be healthy and productive while they pursue a life here in Canada."

“It is critical for health systems to recognize the inequities that face many people entering Canada for a better life.”

CMCC professor Dr. Deborah Kopansky-Giles participated on the advisory panel, bringing

For the full report, please visit www.woodgreen.org/blog/ integratedcarereport

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PASSAGE Anne Taylor-Vaisey This winter we lost a treasured colleague and friend in Anne Taylor-Vaisey who passed away February 8, 2022.

A much fuller sense of who she was and what she brought to her work is provided by her friends and colleagues, among many of which she was considered as family. “She offered nothing short of her total support,” Dr. Dominic Giuliano (Class of ’92) “...just scroll through the author lists on our profession's biggest publications and in many cases, there's ATV! Our secret weapon! I am grateful to have known her.” Dr. Shawn Thistle (Class of ’04) Dr. Kim Ross recalls the first time he met Anne, in 2001: Anne came to CMCC in 2001 as a reference librarian, referred by fellow librarian Steve Zoltai. She immediately impressed students and colleagues with her quick wit, sharp intellect and generosity with her knowledge. She was a bright light, inviting many conversations and creating many friendships through her years at CMCC. In 2013, she left full-time employment at the CMCC library to join the research team at the UOIT-CMCC Centre for Disability Prevention and Rehabilitation (CDPR, known today as the Institute for Disability and Rehabilitation Research) and was appointed Visiting Professor in the Faculty of Health Sciences at Ontario Tech University. During this time, she carried out research on the Minor Injury Treatment Protocol study.

I was putting a lecture together and needed information to support it, so I wandered up to the library and met Anne TaylorVaisey. First impression: I was with a caring family member

sorted out the details of what had to be delivered to the students, and then we just started talking. I felt comfortable enough to tell her about my career and my personal life. She was that engaging and that disarming. It was clear that Anne and I shared a sense of humour as well. I found myself going up to the library from time to time just to say hello. What is more comforting than sitting with someone and talking without judgement? It was like having family at work. Over the next couple of decades, I benefited tremendously from the smile and friendship she provided. Because of the tight connection, I had to give her a name that belonged to us. So, she became the "AllTerrain Vehicle" or ATV for short.

“What is more comforting than sitting with someone and talking without judgement? It was like having family at work.” and no matter what I asked or how ignorant I was, I was going to be treated with tremendous respect. She shocked me with her efficiency in generating the resources I needed. But while this practical efficiency was taking place, I was also being supported by a caring, wonderful person. We

I also loved to push all the letters of her name together to create "Anatalavazy." If we passed each other in the hall, I always shouted it out, and the two of us would howl. When she retired in 2013, we saw less of each other but stayed in 29

Primary Contact - Spring 2020

touch on Facebook, where we had many conversations through Messenger, and although I missed seeing her face-to-face, I still had the pleasure of communicating with her. I will always treasure the time we had together. I look at the pictures on her Facebook site and see the amazing relationship she had with her family. And it all makes sense to me why she felt like family to me as well.

surreptitiously started planting daffodil bulbs in the lawns around CMCC. I remember someone in physical facilities, when they saw the flowers blossoming, saying that they thought squirrels had been digging up the bulbs from the flower beds and burying them in the grass, but it was us two nuts.” Dr. Brian Budgell, Director Life Science Laboratories (Class of ‘86)

“I will always remember her contagious energy, warm heart, and inviting smile.”

Most of my family have passed at this point in my life, and now I have lost a family member who adopted me as she adopted many students, faculty and staff at CMCC. We will all be grateful to have been part of ATV's family. Many of her colleagues recall her desire to help, her generosity and sense of fun:

"I absolutely loved working with Anne. Above all else, she always made time to check in with colleagues, sharing cherished stories and experiences about work, life, and family. Words cannot express the impact Anne had on all of us." Dr. Jessica Wong (Class of ‘10)

“She was incredibly patient, generous with her time and a sincere pleasure to work with.” Dr. Deborah Kopansky-Giles (Class of ‘82)

"Anne was my close colleague, teacher, and friend. We both joined the Institute for Disability and Rehabilitation Research in 2012. My first impression of her was as professional and knowledgeable.

“Anne was such a lovely lady, and she will really be missed. Of course, it was great working with her professionally, but my fondest memory is when we

"We sat beside each other and talked about search terms, good and bad search strategies and had so much fun at work. We gradually got involved in each

other’s lives. My older daughter (she is 8 now) grew up with Anne’s love and care. We visited her cottage every summer. Anne taught my daughter how to swim, paddleboard, feed chipmunks… She read my daughter books and mimicked the voices of the characters ….. it seems I can still hear the giggling. My daughter has her own message for her Auntie Anne, wishing her happiness in her journey." Dr. Hainan Yu, Associate Professor, CMCC From the students whose lives she touched, there is earnest thanks for her help in supporting them in moving forward in their careers. “If it wasn’t for Anne I’m not sure I would have been able to finish my sport residency. She is the reason I know how to search the literature successfully and understand what a MESH term is. I will always remember her contagious energy, warm heart, and inviting smile.” Dr. Jaclyn Kissel (Class of ‘08) Anne is remembered by Bob, her husband of 47 years and partner of 49; her children Miranda (Joe), Bryce (Tiffany) and Nicholas (Emma); her siblings Margot, Bryce, Tom, Heather, Sue, their spouses, her nieces and nephews and countless friends and neighbours. An award is being established in her name at CMCC. Proceeds will fund an annual award bearing her name that honours a graduating student.

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IN MEMORIAM

Dr. Anna Lamon Class of '00

Dr. Nicholas Walter Ashfield Class of '75

Michael Anthony Vangen Class of '70

Robert Ellsworth Kinsman Class of '53

Dr. Donald Pedersen Class of '69

Dr. Pierre Guillot Class of '87

Dr. Ellen Jane MacPhee Class of '06

Dr. Jack Lanskail Class of '54

CMCC is grateful to its supporters who have thought to include a donation to CMCC in recognition of the passing of their loved one. Memorial cards are available through Donation Services at 416 482 2340 ext. 194.

Dr. Jordan Millar Class of ‘09

Primary Contact - Spring 2022

DONATIONS The donations listed here were received and processed between September 1, 2021 and March 31, 2022 for: Research Chair, Awards and Scholarships, Backs in Motion, Gifts in Kind, In Memoriam and general donations. We extend our sincere appreciation to those who have made gifts to CMCC. If you have a correction to this list or would like more information about making a donation, please call Donation Services at 416 482 2340 ext. 194.

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Dr. Brittany Dunlop Dr. Ian C. Eix Elite Manufacturing Dr. Jans C. Ellefsen Mr. Adolph Eppich Dr. Trevor Erdie Dr. Jennifer A. Fawcett Dr. Leonard J. Faye Dr. Brad S. Ferguson Dr. Brittany A. Filipetti Footmaxx of Canada, Inc. Dr. Matthew Forgie Mrs. Katy Fortuna Dr. Jason T. Fox Dr. Ian Fraser Dr. Kathryn C. Fraser Dr. Jessalynn Frederick Dr. Elsie L. Frickey Dr. Paul D. Friesen Dr. Teresa H. Fujimoto Dr. Christian Gagnon Dr. Geoffrey Gamble Dr. Christopher N. Garwah Dr. Paul G. Georgopoulos Ms. Judy Gibson Mr. Dave Giles Dr. J. Stephen Gillis Dr. Pala Gillis Dr. Paul C. Gilmore Dr. Dominic Giuliano Dr. Arnie Glatter Global Office Software Dr. Gregory R. G. Goodbrand Dr. Linda Gordon Dr. Christopher J. GordonTennant Dr. Liza Grant Dr. Robert D. Green Mr. Chris Greenshields Mrs. Mary Ann Grittani Dr. Paul J. Grittani Dr. Anita B. Gross Dr. David A. Gryfe Dr. Sunyatta F. Guild Dr. Martin B. Gurvey Dr. James A. Hadden Dr. Karin F. Hammerich

Dr. Katie Hammerschmidt Dr. Lucas D. Hann Ms. Beth Hanna Dr. Keith G. Harper Dr. Stephanie A. Harris Dr. Joanne M. Hartley Mrs. Marianne HasoldSchilter Dr. Aimee Hatcher Dr. Richard T. Hawthorne Dr. E. Kitchener Hayman Health Upgraded Dr. Eric A. Helson Dr. L. Kevin Henbid Ms. Lorrie Hesch Ms. Leslie A. Hetherington Dr. Timothy Hiebert Dr. Paul K. Ho Dr. Norman Hoffman Dr. Warren S. Hollis Dr. Alan Hong Dr. Sarah J. Hopkins Dr. Ian J. Horseman Dr. Deborah L. Hutchison Dr. John N. Huy Dr. Stephen H. Injeyan Dr. Jason S. Izraelski Mrs. Patricia Jackson Dr. Ali Jaffery Dr. Wayne P. Jakeman Mr. Allan Jamieson Dr. Stephanie E. Johnston Dr. Curtis A. Jurgens Dr. Alim Kara Dr. Rahim Karim Dr. Mohsen Kazemi Dr. Terence M. Kehler Ms. Deidre Kelly Dr. Donald J. Kelm Dr. Thomas F. Kerr Mr. Jay Kilgannon Dr. Peter S. Y. Kim Dr. Pius Kim Dr. Kenneth W. Kinakin Mr. Jerry Knightley Dr. Randy A. Kobayashi Dr. John D. Kobelka

Dr. Sasha Kobrossi Dr. Richard H. Kolanos Dr. Bryan J. Kolisnyk Dr. Paul A. Korbelas Dr. Shane B. Kraft Dr. Kevyn R. Kristmanson Dr. Deborah Kudjerski Dr. Mark G. Labrecque Dr. Melanie Lachapelle Dr. Marnie-Jo LaFleur Dr. Rebecca M. Laginski Dr. Garth W. LaPlante Ms. Karine Laverdiere Mrs. Jennifer Lazarevski Dr. Thanh Le Dr. David Lee Lee Chiropractic & Sports Therapy Clinic Dr. Pierre Levesque Dr. Michelle C. Liberty Mrs. Elizabeth Lightfoot Dr. Tyler J. Linn Dr. Sidney W. Lisser Mr. Christopher Little Ms. Wendy Lo Dr. Evelyn W. Lock Dr. Arthur Lopes Ms. Jane Lunney Dr. Bradley D. Luther Dr. Chanh Luu Dr. Kristine A. Lyons M-Line Pharmacy Inc. Mr. Tony Maalouf Mr. Kurtis Macdonald Dr. Ward D. MacDonald Dr. Brigitte H. MacPhail Dr. Altaz Madhavji Dr. Ranjith Mahendranathan Dr. Kevin G. Mahoney Dr. Robin D. Mallory Dr. Katie Malone Dr. Sandra J. Malpass Dr. Victoria L. Marshall Dr. Allan G. Martin Mr. John Mason Massage Addict Inc. Mrs. Kathryn Matheson

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Dr. Dorothea McCallum Dr. Chris J. McCarthy Dr. Jason D. McDonald Dr. Dominic McKenna Dr. Michael McLauchlin Ms. Ruth Anne McNaught Dr. Adrienne McRuvie Dr. Kelley M. McVarish Medistik Professional Dr. Elizabeth A. Melendy Dr. Richard Mercier Mrs. Carole Milne Dr. Silvano A. Mior Dr. Michael W. Mollenhauer Dr. Brittany E. Morris Kairean Morrison Dr. Jean A. Moss

Ontario Chiropractic Association Opis Supplies Inc Dr. Catherine Owens Dr. Sean E. J. Payne People Corporation Mr. Ari Perez Dr. Mark C. Perrett Dre Denise Perron Ms. Sheila Perry Dr. David A. Piche Dr. Alessandro Pichini Dr. Indira Pillay-Rego Mr. Christopher Pitts Dr. Douglas L. Pooley Probus Club of South Muskoka

Royal College of Chiropractic Sports Sciences Canada Dr. William Salameh Dr. Kristine N. Salmon Dr. Stefanie R. Scaini Catallo Dr. Murray E. Schneider Dr. Brian D. Schut Mrs. Patti Scott Dr. Stacey Scott Dr. Darren J. Scraper Ms. Melanie Sedge Dr. Kathryn Sellars Dr. George Semerdjian Ms. Raheela Shaikh Dr. Bryan Sher Dr. Michael D. Sider

Dr. Catherine M. Straus Strive Health & Performance Dr. Kent J. Stuber Mrs. Debbie Sutton Mr. W. Daniel Swift Mr. Hani Tannous Dr. Patricia A. Tavares Dr. Shane H. Taylor Dr. Sue Taylor Mr. Tom Taylor Dr. Caolan A. Teasdale The Board of the Nova Scotia College of Chiropractors The Co-operators Group Insurance

Multitech Trades Corp Municipality of Trent Lakes New Brunswick Chiropractors' Association Mrs. Barbara Newbigging Newcastle Chiropractic & Health Centre Dr. Jill M. Newell Dr. Paul C. Newton Dr. David A. Noad Dr. Craig D. Norman Dr. Douglas Norsworthy North Vancouver Island Chiropractic Society North York Rehabilitation Centre Corp. Dr. Virginia U. Nsitem

Dr. Karen E. A. Proctor Dr. Jeffrey A. Quon Mrs. Heather Rademacher Dr. Shervin Ranjbar Dr. Mary Rasmi-Wakileh RD Psychotherapy Dr. Paul M. Rego Dr. Marcel Reux Dr. Laurence G. Reynolds Dr. Marty V. Richter Ridgeway Physiotherapy & Rehabilitation Clinic Dr. Nancy Riedel Bowers Mrs. Patti Riley Mr. Duncan Robertson Rock Tape, Inc Royal Bank of Canada

Dr. Ramandip (Roshni) K. Sidhu Dr. Rudra D. Singh Dr. Linda Slaney Dr. William M. Smith Dr. Marissa R. Sparrow Dr. Ashton D. Spencer Ms. Elizabeth Spoenlein Dr. Alexander M. St. Pierre Dr. William P. Stackhouse Staples Advantage Dr. David J. Starmer Dr. Douglas C. Starodub Dr. Igor Steiman Dr. Kirsten M. Stevens Dr. Kailee Stock Dr. Sarah Stock

The Orthotic Group Dr. Richard R. Thompson Dr. Raelene N. Thorne Dr. Anthony Tibbles Dr. Filipe Tiburcio Dr. Murray G. Townsend Dr. Astrid Trim Ms. Vera Turner Dr. Jennifer Turpin Dr. Paul D. Uchikata Mr. G. Douglas Vaisey Dr. John W. Vargo Dr. Michael Vilkas Dr. Darrell J. Wade Dr. Kailin D. Walter Mrs. Lynne Walters Ms. Anmarie J. Webb

Wellesley Therapeutics Inc. Dr. Douglas White Dr. Kathy Wickens Dr. David Wickes Dr. Sarah E. Wild Dr. N. Scott C. Wilson Dr. Robert M. & Anne Wingfield Dr. Kirsten E. Wishloff Mr. Ernest Wolkin Dr. Jessica J. Wong Dr. Carolyn J. Wood Ms. Melanie Wood Dr. P. Gregory Woolfrey Dr. Darcy P. Worthylake Dr. Dean J. Wright Dr. Tim Zafiris

Primary Contact - Spring 2022

PRACTICE OPPORTUNITY 2022 This February, Practice OpportUnity, in collaboration with the Ontario Chiropractic Association, welcomed 547 participants including sponsors, vendors, associations, chiropractors and students. We welcomed seven associations, 66 chiropractors, eight vendors and are grateful to nine sponsors. Thank you to Title Sponsor the Ontario Chiropractic Association, for sponsoring Practice Realities panelists Drs. Marco De Ciantis (Class of ’12), Hera Khayyam (Class of ’18) and Stephen Gray (Class of

Dr. Marco De Ciantis

’20), and to the Canadian Chiropractic Association, for sponsoring the Keynote Address with Dr. Debbie Wright (Class of ’02).

Alberta, Massage Addict, FootMaxx, Foot Levelers, and Bronze sponsors: the Chiropractors’ Association of Saskatchewan, RBC and Rocktape.

We are pleased to note that aside from hundreds of interactions, both formal and informal, between our attendees, 115 jobs posted received applications on event day as a result.

We were also happy to have the BC Chiropractic Association, Nova Scotia Chiropractic College, Newfoundland and Labrador Chiropractic Association with us. CMCC thanks its representatives from the Board of Governors, Alumni Relations and Special Events, CMCC Continuing Education and the CMCC Supply Centre & Bookstore.

Title Sponsor: Ontario Chiropractic Association. Keynote Address sponsor: Canadian Chiropractic Association. Silver sponsors: Divine Spine, the Chiropractic Association of

Dr. Hera Khayyam

Dr. Stephen Gray

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CMCC SIGNS NEW ARTICULATION AGREEMENT WITH THE UNIVERSITY OF NEW BRUNSWICK

A new articulation agreement between the University of New Brunswick (UNB) and the Canadian Memorial Chiropractic College (CMCC) will enable qualified students to complete a Bachelor of Sciences in Kinesiology degree and a Doctor of Chiropractic degree in seven years, instead of eight. This agreement offers UNB students an opportunity to complete the requirements of their undergraduate degree in kinesiology at UNB through courses offered within

their Doctor of Chiropractic Degree at CMCC. CMCC President Dr. David Wickes is excited to work with UNB and expand opportunities for students, facilitating a strong career pathway for those who identify their interests early in their undergraduate program.

who wish to pursue a career in chiropractic, reducing the length of time for study and providing them with the support early on, through the collaboration between the institutions. CMCC currently has pathway agreements with UNB, Ontario Tech and the University of Winnipeg.

UNB Dean of Kinesiology Dr. Wayne Albert, who signed the agreement with CMCC sees the new pathway as a means to bolster students

Primary Contact - Fall 2021

Thank you to our members, alumni and friends, for all you do for us.

Spring 2022 Volume 60 / Issue 2 Primary Contact is published twice a year by the Division of Marketing and Communications at CMCC. Your opinions, comments, and input are important to us. Do you have suggestions for topics we can cover? Phone: 416 482 2340 ext. 217 Fax: 416 482 3629 communications@cmcc.ca Other frequently requested email addresses: admissions@cmcc.ca alumni@cmcc.ca board@cmcc.ca development@cmcc.ca events@cmcc.ca govclub@cmcc.ca membership@cmcc.ca president@cmcc.ca Executive Editor: Shannon Clark Contributing Editors/Writers: Mara Bartolucci David Coleman Margaret McCallen Gill Alkin Design: Craig White Photography: istockphoto.com CMCC Media Services Associate Vice President, Institutional Advancement & Communications: Mara Bartolucci Director, Alumni Relations: David Coleman Director, Development and Clinic Advancement: Dr. Peter Kim

CMCC does not necessarily endorse or approve advertisements published in Primary Contact. Opinions of individual authors do not necessarily reflect the views of CMCC.

From student awards to enhanced learning technologies to offering volunteer hours that help us with our applicant reviews, events and community outreach. We couldn’t do it without you.

Publications Mail Agreement Number: 40062432 Change of address and undeliverable copies should be sent to: CMCC Alumni Relations Office 6100 Leslie Street Toronto, ON M2H 3J1 cmcc.ca Twitter @cmccnews Facebook.com/cmccnews Instagram @cmccnewsandevents

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RESPONDING TO THE OPIOID CRISIS: THE ROLE OF CHIROPRACTIC IN OPIOID USE REDUCTION A new online course "From March 2020 to April 2021, there were over 6,900 apparent opioid toxicity deaths in Canada and over 75,600 in the United States, the highest annual toll on record" (Government of Canada, 2021; CDC, 2021). The Canadian Memorial Chiropractic College (CMCC) and the Ontario Chiropractic Association (OCA) have developed a new online course designed to help practitioners safeguard patients’ health and foster collaboration with medical professionals in managing, reducing, or eliminating opioid dependency. Interactive simulations and learning assessments are used in the four chapters of the course: 1. Chiropractic and Pain Management 2. Opioid Facts 3. Performing Case Outreach with Other Health Professionals 4. Communicating with Other Health Professionals This new online educational resource will help chiropractors increase their competency in case outreach, facilitate communication with other healthcare professionals, and provide quality care to patients who suffer from chronic pain.

Continuing Education Division of Continuing Education Canadian Memorial Chiropractic College 6100 Leslie Street, Toronto, ON Canada M2H 3J1 ce@cmcc.ca

Primary Contact Spring 2022

Articles inside

Primary Contact Spring 2022